Submit a Testimonial

Take Action for Kids > Submit a Testimonial

First Name(Required)

Last Name (optional)

City/Area(Required)

Province(Required)

Email(Required)

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Your Story(Required)

Give Your Story a Title(Required)

Please make it short and descriptive

Link to your story on SM

Have a website or social media account?

Interview Consent

I am willing to be interviewed and have my interview published online

Phone(Required)

As you have indicated you are willing to be interviewed, please provide your phone number.

Upload a Photo or Video

Have a photo or video that complements your story? You can upload it here.

Max. file size: 50 MB.

By submitting this form and confirming your email address you are consenting to having your story published on our site.

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